PROMISE HEALTH INC (NPI# 1801996855) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1801996855 |
| Entity Type | Organization |
| Organization Name | PROMISE HEALTH INC |
| Other Organization Name | PROCARE PHARMACY |
| Practice Address |
18671 Valley Blvd Unit B Bloomington CA 92316-1831 |
| Practice Telephone | 9099903000 |
| Practice Fax Number | 9099903003 |
| Mailing Telephone | 9099903000 |
| Mailing Fax Number | 9099903003 |
| Enumeration Date | 2006-09-22 |
| Last Update Date | 2019-08-12 |
| Authorized Official Name | MR. BHAVIK RAVJIBHAI NASHIT (DIRECTOR/PHARMACY MANAGER) |
| Authorized Official Telephone | 9099903000 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 3336C0003X |
Pharmacy Specialization: Community/Retail Pharmacy |
Suppliers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| CA | NCPDP | 0534784 | 01 |
| CA | BOARD OF PHARMACY LICENSE NUMBER | 57338 | 01 |
| Other Name | Type Code |
|---|---|
| LONE PINE DRUG | Doing Business As Name - Organization |
| Procare Pharmacy | Doing Business As Name - Organization |
| Street Address |
18671 VALLEY BLVD UNIT B |
| City | BLOOMINGTON |
| State | CA |
| Zip Code | 92316-1831 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1811195001 | Raul A. Rodriguez Dds Inc. | Dentist | 9986 Bloomington, Bloomington, CA 92316 | 2007-07-10 |
| 1982706610 | Cathleen Helen Tapp Stewart | Dentist | 18601 Valley Boulevard, Bloomington, CA 92316 | 2006-09-02 |
| 1558840314 | Alexia Cisneros | Behavior Technician | 526 S Ironwood Ave, Bloomington, CA 92316-1218 | 2018-08-11 |
| 1295385235 | Angela Marie Sandoval | Technician | 857 S Ironwood Ave, Bloomington, CA 92316-1219 | 2019-09-11 |
| 1508348228 | Javier Sandoval Jr. | Dietitian, Registered | 516 S Linden Ave, Bloomington, CA 92316-1221 | 2018-08-29 |
| 1659746402 | Christina Kinney | Behavioral Analyst | 636 S Aspen Ave, Bloomington, CA 92316-1317 | 2015-12-04 |
| 1740634203 | Alfonso Luna IIi | Physician Assistant | 657 S Lancewood Ave, Bloomington, CA 92316-1336 | 2016-04-20 |
| 1881232650 | Sarah E Brown | Behavior Technician | 772 S Lancewood Ave, Bloomington, CA 92316-1343 | 2019-12-12 |
| 1073853255 | Alberta Frances Irons | Behavioral Analyst | 836 W Fontlee Ln, Bloomington, CA 92316-1508 | 2013-02-25 |
| 1073165650 | Genevieve Elon Monge | Family Medicine | 18651 Valley Blvd, Bloomington, CA 92316-1831 | 2019-07-12 |
| Find all providers in zip 92316 | ||||
| Taxonomy Code | 3336C0003X |
| Grouping | Suppliers |
| Classification | Pharmacy |
| Specialization | Community/Retail Pharmacy |
| A pharmacy where pharmacists store, prepare, and dispense medicinal preparations and/or prescriptions for a local patient population in accordance with federal and state law; counsel patients and caregivers (sometimes independent of the dispensing process); administer vaccinations; and provide other professional services associated with pharmaceutical care such as health screenings, consultative services with other health care providers, collaborative practice, disease state management, and education classes. |
| Notes: Source: Developed by National Council for Prescription Drug Programs (NCPDP), National Home Infusion Association (NHIA), and Pharmacist Services Technical Advisory Coalition (PSTAC) [1/1/2006: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1922640077 | Indiana University Health Bloomington Inc | Pharmacy | 601 W 2nd St Ste 100, Bloomington, IN 47403-2317 | 2019-10-10 |
| 1962891820 | Hy Vee Inc | Pharmacy | 1403 N Veterans Pkwy, Bloomington, IL 61704-2201 | 2015-01-15 |
| 1649369299 | Catozzi Corporation | Pharmacy | 730 W 2nd St, Bloomington, IN 47403-2210 | 2006-10-12 |
| 1548353196 | Town & Country Pharmacies, Inc. | Pharmacy | 404 W. Second St., Bloomington, IN 47403 | 2006-10-02 |
| 1790881241 | Walgreen Co | Pharmacy | 7940 Penn Ave S, Bloomington, MN 55431-1315 | 2006-09-15 |
| 1265535785 | Hook Superx LLC | Pharmacy | 1000 N College Ave, Bloomington, IN 47404-2475 | 2006-09-07 |
| 1073616512 | Hook Superx LLC | Pharmacy | 2650 S. Walnut St., Bloomington, IN 47401-6559 | 2006-09-07 |
| 1780690370 | Walgreen Co | Pharmacy | 9800 Lyndale Ave S, Bloomington, MN 55420-4731 | 2006-08-01 |
| 1881609014 | Walgreen Co | Pharmacy | 1408 N Main St, Bloomington, IL 61701-1762 | 2006-07-29 |
| 1043225352 | Walgreen Co | Pharmacy | 7845 Portland Ave S, Bloomington, MN 55420-1312 | 2006-07-29 |
| Find all providers in BLOOMINGTON | ||||
| City | BLOOMINGTON |
| Zip Code | 92316 |
Please comment or provide details below to improve the information on PROMISE HEALTH INC.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.